Parameter iyi ndi yapamwamba kwambiri yoyezetsa matenda, chifukwa sikuti amangozindikira nthawi yokhayokha ya mimba pachiyambi, komanso amalola madokotala kuti azindikire msanga zovuta za mimba. Tiyeni tikulongosole za izo mwatsatanetsatane ndikuuzeni momwe, panthawi ya mimba, WDM amasintha ndi sabata, ndipo tebulo lomwe madokotala amagwiritsira ntchito poyerekeza zizindikiro zomwe zimapezeka ndi muyeso kwa chizolowezi.
Kodi mumadziwa bwanji kukula kwa chiberekero?
Pafupi ndi chiyambi cha trimester yachiwiri chiberekero chimapita kupyola malire a mapira aang'ono, omwe amachititsa kuti athetse pansi pamtunda wamkati.
Mkazi wamayi amachititsa mchitidwe wamtundu uwu pa kufufuza kwa amayi omwe ali ndi pakati. Ndondomekoyi imachitika pamalo apamwamba kumbuyo, mothandizidwa ndi chipangizo chapadera, tasometer, kapena tepi yamtundu wamba. Zotsatira zimapezeka nthawi zonse mu masentimenti ndipo zimalowa mu khadi losinthanitsa. Izi zimakulolani kuti muzitsatira chizindikiro ichi mu mphamvu ndipo mwachindunji muyang'ane chitukuko cha mwana wakhanda.
Kodi malemba a WDM amatha bwanji kutenga mimba pogwiritsa ntchito tebulo?
Pambuyo payeso, zotsatira za madokotala zikufanizidwa ndi zotsatira zomwe zafotokozedwa. Mmenemo ziyeso za parameter iyi zimasindikizidwa, kuyambira pa masabata 8 mpaka 9 a chikwati.
Monga momwe tingawonere kuchokera pa tebulo, mu masabata achilendo, WDM amasintha mwanjira yomwe ikugwirizana ndi nthawi, i.e. kuti mudziwe zomwe zimachitika pa nthawi inayake, ndikwanira kuwonjezera masentimita 2-3 mpaka masabata. Pankhaniyi, n'zotheka kupeza zizindikiro zowonjezereka. Komabe, kutenga mimba kumafuna kulondola, nthawi zambiri madokotala atatha kuyeza, zotsatira zimayesedwa ndi zomwe ziri patebulo.
Kodi ndi chani chomwe chingasonyeze kusiyana kwa pakati pa MMR ndi zaka zapakatikati?
Kukula kwakukulu kapena, kupatulapo, kuchuluka kwa chizindikirochi kumapatsa dokotala chifukwa chomveka choyesera. Komabe, panthawi imodzimodziyo ndi koyenera kupanga kusintha kwa maonekedwe onse ndi nthawi ya mimba.
Choncho, malingaliro okhudzidwa a kutalika kwa chikhalidwe cha uterine fundus angasonyeze zoterezi za njira yogonana monga polyhydramnios, ndipo nthawi zina zingasonyeze chipatso chachikulu. Monga lamulo, chiberekero cha pansi ndi chachikulu pa mimba zambiri, zomwe sizotsutsana.
Malo otsika a uterine fundus akhoza, mosiyana, amasonyeza kusowa kwa hydration, kapena kuchedwa pa chitukuko cha munthu aliyense. Komanso, izi zikhoza kuzindikiritsidwa ndi kuwonetsa mwachibadwa kwa mwanayo, - kutuluka kapena oblique.
Kodi ndizifukwa ziti zomwe WDM ingakhoze kuyeza molakwika?
Pazochitikazi pamene mimba ya VMM yomwe ilipo pakadali pano silingagwirizane ndi chizolowezi, imajambula pa mlungu uliwonse ndipo imasonyezedwa patebulo, mayi wapakati sayenera kukwiyitsidwa ndi mantha. Zifukwa zomwe parameter iyi imayikidwa molakwika ndi zingapo.
Choyamba, kusiyana pakati pa mtengo wa tebulo la WDM kungakhale chifukwa cha kuwerengera kolakwika kwa msinkhu wokondweretsa.
Chachiwiri, kutalika kwa chikhalidwe cha pansi pa chiberekero sikungayesedwe mwaulere, chifukwa zizindikiro za mchitidwe woyembekezera ziyenera nthawi zonse kuziganizira.
Kusiyanitsa pakati pa nthawi ya malire ndi nthawi yayitali nthawi zambiri kumakhala kafukufuku wophunzira, zomwe nthawi zambiri zimachitika ndi ultrasound, CTG, ndi dopplerometry.